Qualified professional with keen business acumen and understanding of organizational needs. Collaborative, cross-functional leader with commitment to teamwork. Excellent project manager with dedication to meeting business objectives.
Overview
11
11
years of professional experience
Work History
Credentialing/Privileging Specialist
MERIDIAN HEALTH SERVICES
Muncie
02.2024 - Current
Maintained up-to-date knowledge of credentialing requirements and changes in regulations to ensure adherence to best practices
Performed primary source verification of education, training, licensure, certifications, work history, malpractice claims history, and other relevant credentials
Ensured timely completion of all aspects of the credentialing process within established deadlines
Collaborated with internal departments such as HR, Compliance, and Legal to gather necessary information for credentialing and privileging purposes
Communicated effectively with healthcare providers regarding missing or incomplete documentation required for credentialing and privileging
Conducted background checks on healthcare providers using various databases and resources
Maintained accurate records of all provider credentials in compliance with organizational policies and procedures
Developed and maintained relationships with external organizations such as licensing boards and professional associations to facilitate the credentialing process
Assisted HR in the onboarding process including presenting orientation information
Home Daycare Owner
New Castle
10.2023 - 02.2024
Managed daily operations of a home daycare
Managed financial transactions and reconciled accounts regularly
Communicated policies and daily activities with parents to foster transparency and engagement
Handle all income streams/balance books
Scheduling Coordinator Manager
Bethany Cares Home Health Agency
New Castle
01.2022 - 10.2023
Oversaw a rotating on-call schedule to maintain consistent support for healthcare services.
Assisted in developing staff schedules to ensure adequate coverage.
Coordinated communication between staff, patients, and families for care updates.
Facilitated onboarding processes for new staff regarding scheduling procedures.
Handled a rotating on call schedule
Front Office Manager
Little Heroes Pediatric Dentistry
New Castle
01.2020 - 01.2022
Assisted parents of patients with check-in and check-out processes to ensure smooth patient flow
File prior authorizations to insurances for a number of procedures and appliances
Checking and updating insurance eligibility
Processed billing statements for patients, ensuring accuracy and clarity in charges
Adjusted and balanced account receivables, maintaining financial integrity and up-to-date records
Facilitated recruitment process to ensure timely hiring of qualified candidates
Assistant Manager
Weenee World
New Castle
08.2015 - 10.2020
Trained new team members in customer service protocols to enhance team readiness
Resolved clerical errors to ensure accurate records on the registers
Assisted owner with restaurant opening and closing procedures to maintain operational continuity
Customer Service Representative
Navient
Muncie
02.2018 - 02.2020
Assisted borrowers with account inquiries through inbound and outbound calls
Detailed various company and government programs to enhance borrower understanding
Mentored new hire agents on system tracking and regulations
Secured Department of Education contract clearance to fulfill regulatory requirements